HomeMy WebLinkAbout16-17183 CITY OF ZEPHYRHILLS
5335-8TH STREET ��
%� ' (813)780-0020 17183 `��
BUILDING PERMIT
PERMIT INFORMATION ' � LOCATION-INFORMATION
Permit Number: 17183 Address: 37638 LORENA AVE LOT 126 I
Permit Type: MECHANICAL ZEPHYRHILLS, FL. �
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est.Value: Parcel Number: 34-25-21-00000-1260
Improv. Cost: 4,025.00 OWNER INFORMATION �
Date Issued: 3/21/2016 Name: SULLINS CHARLES V III REV TR
Total Fees: 60.00 Address: 37638 LORENA AVE
Amount Paid: 60.00 ZEPHYRHILLS FL 33542
Date Paid: 3/21/2016 Phone: 586-201-6393
Work Desc: A/C CHANGE OUT 3 TON PKG
- CONTRACTOR S � � � �APPLICATION FEES �
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
�1�
1 `
Z�� Z
�
� ' � � Ins ections Re uired � � - �
DUCTSI A LED
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
', improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
� � NO OCCUPANCY BEFORE C.O.
� .
O TRACTOR SIGNATURE PERMIT OFFI R
' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-�so-oo2o City of Zephyrhills Permit Application Fax 813-780-0021
Buitding Repartment
, �. •
Date Recelved p}yqne Contaat for Permittin -��� � � = l ��,
Owner's Name (�ET/'T/:.1-L J O��`�'-1v J� Owner Phone Numbe'r :� ���" � ��
Owner's Address �� � �GA�'N�,/l� �tf�— Owner Phone Number � �
Fee 5lmple Tlkleholder Name �! Owne�Phone Number � �
�
Fee Simple Tltleholder Address �
J08 ADDRESS � ! ��O �rG��G�. /� �'�' �ND �d LOT# C�
susaivisioH � � PARCEL ID# � �5` �C.�d ��
(OBTAINEO FROM PROPERTYTAX NOTICE)
WOR4C PROPOSED , e �NEW CONSTR� ADD/AlT �� SIGN Q Q DSMQLISH
INSTALL REPAIR
PROPQSED USE Q 3FR Q COMM 0 OTHEF2
TYPE OF CONSTRUC710N � Q BLOCK ' Q FRAME � STEEL Q
DESCRIPT�ON OF WORK GS. ��G G� e �bLLT � �/1,.� , �� /��OM /11�1"%
�
BUILDlNG SIZE � � SQ FOOTAGE C� HEIGHT
O�u���E�� �' ��� VALUATION'OF TOTAI CONSTRUGTION
L .�J
QELECTRiCAI. � � AMP SERVICE Q PR{3GRESS ENERGY Q W.R.E.C.
OPLUMBING �>�
OMECNANlGAI $ �1 j���i�� VA�UATION C}F NiECHANICA�.INSTAllAT10N �� � ,
�� ��
QGAS Q R40FING. Q SPECIALN Q OTFiEf2
� FINISHED FLOOR ELEVATIONS ��� FLOOD ZQNE AREA QYES NO
�
i
I BUIlDEtt COMPAt�tY
SIGNATURE REGISTERED Y/ N FEE CUf2RE� Y/N
Address License# �� �
E�ECTRICIAN COMPANY
SIGNA7URE � REGISTERED Y/ N FEE CUFtRE� Y/N
Address License# �^ �
PLUMBER COMPANY
SIGNATURE „ REGISTERED Y/ N FEE CURREA Y/N
Address Gcense# � �
MECNANIGAI. ��,�, '�J'0 L��.�1�.1J�..� COMPANY /�1Q�.�fc�3 �� ��Y-��.- ��i✓
SIGNATURE REGISTERED Y! N FEE CURRE� Y/-N
Address ��j /�"��� � Z .. � ` �icense# l �/'tt:.D�}����
OTHEit COMPANY
SIGNATURE REGISTERED Y/ N . FEE CURRE� - Y-/N.
Address • � Licanse# �! �
RESlDENTIAL AttacFi{2).Plof Plans;{2}sets:af Bullding"'Plans;{1}se#of Energy°Farms;R-O-W P'smilt for new c�nstruc#lon,
Minimum ten;(10)woricing;daysafter_submittal date.�Required onsite,Construction Plans;Stormwater Pla�s w/Stlt Fence installed,
Sanfta"ry FaciUties&�1 dumpster,Site Work�Rermit ior subdivislons/large pr�jects �
COMNiERC1AL Attach�3}c�tnplete"sets of Bu�IdEag�Plan"s ptus a I.Ife Safety Page;{1}set of Enat'g}r Famts.R-Q-W Pernti#for new construction. -
Mintmum ten(10)working days after submittal date. Required onsite,ConsUucUan Plans,Stortnwater Plans w!Silt Fence installed,
" Sanitary FaciliUes&1 dumpster.Site Woric Permtt for all new proJects.All commerc,iai requlrements must meet compliance
SIGN PERMIT At#ach{2)sets of Ehglneered Ptans. ,
""•PROPERTY SURVEY required for all NEW constn�cUan.
Direotions: {
Fill out application completely.
Owner 8 Contractor slgn baok of applicallon,notarized
if aver 32500,a Natice af Commencement is reqaired. (dUC apgrades over 57500)
`" Ag�ent(for the contractor)or Power of Attomey(for the owner)wauid be someone with notarized letter from owner auLharizing same
DYER THE COUNTER PEEtMIT{1FiG {Front of Appltca8an On{y}
Reroofs if shingles Sewers Service Upgrades A/C �Fences(PIaUSurvey/Footage)
Driveways•Not over Caunter tf on pubtic roadways..needs ROW
NOTIC�OF DEED RESTRICTIONS: The undersigned under.gtands.that this.p�rmlt.may be,subJect to"deed"restrictions"
which may be�more.restcictive than County regulatlons. �The undersigned�assumes responsibility for compliance with any
�,,applicable deed restricttons. .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL-ITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required�.to be�licensed In accordance.with state.and�local regulations. If the
contractor is not Ilcensed as required'by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or Intended contractor�are uncertaln as to what Iicensing.require�nents may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Divislon—Licensing Sectlon at�27-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block° of this appllcation for which they wlll be responsible. If you, as.the owner sign as the
contractor, that may be an indicatfon that he is not.properly Iicensed and Is not entitied to permitting privileges in Pasco
�ounty.
�`��NS�AltTA7'ION IMPACT/UTILITIES_IMPACT d�PID ItESOUttCE RECOVEItY FEES: The undersigned unde�stands
that Transportation Impact Fees and Recourse Recove.ry_Fees may'-apply�to:the const�uction of rrew buildings, change o�� --- �
use in existing bufldings, or�expansionf of�ezistin�`�buildings, as specifled.in Pasco County Ordinance number 89�07 and _
90-07, as amended. The.undersigned also understands, thaE.such fees�.as}may be:due, wlll.be tdentified at the time of
permitting. It Is further understood that Transportation Impact Fees and�Resource Recovery Fees must be paid prior to
rece�ving a "certificate of occupancy" or flnal powerrelease. .If the project does not involve.a certiflcate of occupancy or
final power release, the.fees must be paid�prior to permit fssuance. Ft��thermore, if Pasco County Water/Sewer Impact
fees are due, they�must be-pald.prior to permit-Issuance-in accordance wlth applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes�as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have.been provided with a copy of the "Florida-Construction Lien Law—Homeowne�'s
Protection Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have�.obtained a copy;of.the above..describ�d document°and.promise in,good faith.to
deliver it to the"owner"prior�to�commencement: ,
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certiiy that all 4Fie information�in�thi�application is accurate and that all work
will�be done in compliance with all applicable laws regulating construction, zoning and�land development. Application is
hereby made to obtain .a permit Co do work.and installation as Indlcated: 'I certify that no work�or Installat{on has
commenced prior to issuance of a permit and that.all work will be perFormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulations, and land development cegulations�(n the jurisd(ction. I also
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to Identify�what.actions I must take:to be,in:.corrlpliance. $uch agencles include bwt are..not Ilmited to:
- Department of Environmental�Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management� District-Wells, Cypress. Bayheads�, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navtgable Waterways.
- Department of Health 8 Rehabilitative ServlceslEnvironmenfal Health Unit Well.s, Wastewater Treatment,
Septic Tanks. , _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviatlon Authority-Runways.
I understand that the following.�rest�ictions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the flll materfal (s to be used in �Flood .Zone "A", (t. Is understood that a drainage plan addressing a
"compensating volume" will be subm(tted at.time of permitting which is prepared by a professional engineer
Iicensed by the�State of Florida: �'
- If the fill material.Is to be used in Flood Zone °A° (n>connec�ion with.a��permitted buflding using stem wall
� construction., I certify that fill�:wlll:•b.e used only.to.fill the area wtthin the stem wali.
- If flll materlal is to �be used in any area, I certify that .use. of such'flll will not adversely affect adjacent
p�operties. If use of flll is found to adversely:affect adJacent_properties,.the owner may be cited for v(ofating
the conditions of the building,permit issued under the at�ached�pecmit application, for.lots less�than one (1)
acre which are:elevated�by�fllt�an�ngineered drainage plan is required. • •
If I am the AGENT FOR THE OWNER;I�promise In good faith to inform the owner of�the permitting conditions set forth In
this aKdavit�prior to commencing�constructlon. I understand that a-separate permit may be required for electrical work,
plumbing, signs, wells, pools; alr conditfoning, .gas, or other installations not,spec�ically included�in.the application. .A
permit Issued shall be construed to be�a`Iice�se to proceed with the'wo�k and not as:authority to.violate,-cancel, alter, or
set aside any provisions of�the techn(cal.codes; nor shall issuance�of a.pe�mit.preve�t the Bulldirig Official from thereafter
requiring a correction.af ercors In plans, construction or vlolatlons of any codes: Every permit issued shall become invalid
uniess the wo�k authorized:by such�permit:�is-commenced•within six months of permit Issuance. or if work authorized by
the perm(t is_suspended o[.abandoned for a:per.tod of six(8)montfis:after the time the work is commenced. An extension
. may be �equested, In writing; f�om the Building,Official for a period:not.to exceed ninety:(90) days and wrill demonstrate
justifiable cause for.the extensior�. If work ceases:for ninety(90)consecutive days�..the job�is considered abandoned.
WARNING=T0!''OWNER: YOUR FAILURE�TO:REC:��2D..A.NOTICE:OF°COMMEMCEMENT,MAY-RESULT�IN YOUR
PAYING TNIICE FOR:IMPROVEMENTS:TO XOUR PROPERTY:;.I�°YO.U,IN'�END�"TO�`OBTAIN�FIPtAI�CING;'CONSUL'T
WITH UR' O. AN ATTORNEY-B OR�•, OR�� G:�VOI! ' O �C `O � �' E �E
FLORIDA JURAT( ..S.1 .7.03) _ � ' � ' '� °
� • �
OWNER OR AOEPI CONTRACTOR
Subscrlbed and swom ' (or afflrmed) ore me ils Subscribed and' m`to(or afftrme �b fore me'ffii� �
by,, y � ,.
Who Is/are personall known to.me or has/haye produced Who.ls/are personally known to me.or has/heve.�produced
� as Identlflcatlon. as tdentlBcaUon.
' /. , � •
Notary Public . ; /,� Notary Public
�
Commisslon No. Commissio .No. ,••�'�w%�PY'••,
� =�; ;�= Commission#FF 150422
�a;
Name of Notary typed,printed or stamped Name of Notary type {'��'O�'8�Ei1��hay Fai���6����g�B��019
d
� `R.
� y �� i � - .� � ,�:.�
� � � PROPANE GAS J ' � � � `�
� AND AIC �tvc. Service Order/Proposal Air Conditioning 8 Heating
�irce �988 - 813-782-5013
� . :li[i���f; '•r'T-�E=r_;'1; .-,�_-,�� _-'r_;i'r'-li'.� r'_�t.'�.:,.i'( �... i -
Sales, Service & Installations [;,�,��-�:'��i� ��rr;t: -, ,-��;,,-;. � ;:t,-- ; �-, F, , - ..
_ ._ .�. _.4. 1._
4441 Allen�Rd. �-Zephyrhills, FL 33541 -cr-�;:;�_r�� ��: ; �_;�_� ti7:..
NOTES'��T�.���� I)(a i l_ ,'l �f'1':- !`'!<ili;;:i'�'�I, i;,�.i ` �. ;.,; ;, f_ _ •���,,, ;,,.
=��-- :.�_i,i,ir�-.. „ �-•, i, . ,,,�:'i
� l � i"i I�,1-F_t��E=:��ia: •;_�;�__�..,-?"l:=�C.! ,c-,j -, � _
� p;.aC1i`..�r-:p;. �;�"�") r' "i -- �,��. - - .J-i , . ,
� r'���L��i'I" :�E�.�.:! �.��� ��; ,� i_�_.�:
,_ .. ._
. , _ _,. .
. . �f. , ,
. • _
':,I_f�._�_.lhi`av _;�"�I_If'I-" _. i��i'I;';(-t �,I.:' I-- ! !.'°,� :i.;i_i;.'!' ;=ii•1; �:,:-1i�,u� ,
..:�?�_:.._,!� 1_.l_�f?��'tIE=1 h�!`,!t`. . ?�:- �_�'t.? � tJFdL.".i r.,i �
•:t�? � E.
' "�:;j:;C;i•�f1 11t]'� {. i �-�� �,-- . • .
..
!_I_F'I-� r f{F�i.LL_i_ '_, • ��; >>::_--� , 'i_-F-i.., ; ,�i-i �.i_-i. -, �= .--�----'•.� ,
i:' . � _. �if-i1 �', '�'r' �lL:_h't I�l�i_. F7.�r..
r _ �
i��::1 � .�i�ii'I � �;- 1'��i.� �+�1.;4'! �_.���, i _I',. � .. . ,
DESCRIP.TION OF WORK- • '. QTY; . MATERIALS&SERVICES. UNIT PRIGE AMOUNT
' . i i
� , ,�r���� ��� �.,�- �.'�;�T� _ _ .,3 � j��v T"�.�-�, .����`. ,' � , ��7s�
;
` ��(�c.' f�"�/X f//A i f ! i i
� �G/ --S��� i �
. �
' /�' tii//r '� .s�.-.� � .E �, F ij� �G,r�-� i
/� e /z ��-`r=_ o:v,/y �: � �
%✓� '�J��' �,,7��' - '
� �
. � _ � �
,��,, ,�� T-: T � � �
. � �
�
� �
� RECOMMENDAI'IONS ` - ����,�,r i ��GJ cU
Annual Maintenance Recommended by All Equipmerif Manufacturers. ' '
- Pressures Lo FN T-Stat i i
i i
, REFRIGERANT R- LBS. $per Ibs. � �
FILTERS x z Changed Monthly I. I
� ' " , FILTERS x x Changed Monthly I , I
.
', O REGULAR ❑WARRANTY TOTALSUMMARY
, 'Defiumidistat Settings:'When here"ON", When Awa 60°d, T-Stat 80° ❑ MAINTENANCE �
Y — CONTRACT SERV
ICE
LIMITED WARRANTY: All materials,parts and equipmenl are warranted by the manu(acturer5' MEl'I-IOD OF PAYMENT CALL ` i
or suppliers'written warranty only.All labor performed by lhe above named company is warranted for � TOTAL i '
'30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warzanties on
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINT i
I have aulhorily to order the work outlined above which has been satisfactorily completed,I agree Ihat Seller P W F C
' retains title lo equipmenUmaterials furnished until final payment is made.If payment is not made as agreed, C��M#
seller can remove said equipmenUmaterials at Seller's expense.Any damage resulting from said removal shall � ��Z�
I not be lhe�responsibiiiy o!Sellec NET 30 DAYS.A 1 tl2%SERVICE CHARGE WILL BE ADDED MONTHLY TO ���.�`v��• � �- ��� I
ALL UNPAID BAIANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
�• � � TECH: T� i
K �-1:, ,:-. . G• �-:- _ --.- .r'/r(6G/� %.� /y�.M `�� TOTAL G�
USL TOMERSIGNATURE ��� DATE / �/ v,�,v� ✓�"� v
03l18/2016 15:24 6137831374 BAHRS PROPANE GAS PAGE 01/01
a�s.rao-oozo City of ZephyfiiHs Permit Application Far,S13-780-0021 •
� , , s+,t��g oapartn,�nt
o�Re�d � �v�,c�aw�� . 8t3 7 3_ 137
ow�ere t�ama L-�s S�.t.11�/v.S �awne►Phone M„m�r $'!.�— 53'J
�wnere naaresa 7 $' L.or py�p�,,,,,p,,,,� �
Pee 8lmpte Titlehotder Neme p��pho�.pumyit
Fw Simph T[tbholderAddree�s ' •
JOBADDRE88 �� �O.'�i0 OT�E-/tl�Q f�/1�D ?� I.OtN �
susciws�oN r,�c�.,c� 3 �?5 D
��aBrb�m��oreenT�xNonc�
WORK PROPOBEp �NEW WHSTq• App/ALT � � 3101d' Q � DQNOLI9H
' e IMBTAU. ft�PA1R '
PROPOSED.UBE Q 3Fli � CQIYSM� Q pltl�{Z • .
lYP�OFCON91Rt1CT10N • [] ewac • p �E �, sT�FI, �
uesct�wno�o�waws C'S..�9C C � e�ou.T 3 7o�t c �Bam nr r—
BUILDINGSIZE �� gQF00TAG�� FIEIRHT
Q6UILOING • S � VAlAJATiON���tA1.CANSTi2�J�1'ICN •
���� i SERVICE"" � PROC�tESS�NERc3Y Q W.Ft.E,C.
� ,
�Pt.un�ING S . � ,, .
� � . ,
o����. s oa ���Ari� ������,�► � � 7��3
Ci� p.� Roo�iNo �] SPECIALTY �] o� .
. ,
FIf�lSHED RI,pOFt E�VATIONS ' �,ppp�q�,q �y�g Np
I .
' BUILDER COINPANY
SIGNATUR� p[-0tB'tERm /N KE�W��n Yf
Addfe3e �g '
�crn�cuw . coMvnHr •
B�GNATURE ' REG1StEi&C /N F6E cuwReA Y/N
Addr�as ' ' �#�
KLUMetrt COMRAHY ' .
SIONA7URE � N �cum� Y/N
�� �.��r �
, ME6HANICAL '�,,Ma. ����� CONIPANY � /�S. Q t �Z'.plC�i
�* AT� `�//�_„ PL�i167fRED TN F�CURREp Y!'N
nddroaa ��/'I71� 7`EL G�• i� I�ise#. ��'D�}� �S
I �� � CONI�l1NY. .. �
SlGNATt7RE i�G�sTEr�n Y!H.. , fEEGua�t� : •Yf.N.�.
.Address . Li0e�s0#�
RESIDEN7lAI: lUlaah(�Rlot P1att�4?J s61s.Df•Btdliling'Pls��(1)set of E�y�Fahtte;RrG�W�ni7ifo,r'new.00nabuaUnn,.
, NH�num�tem fto)�,yrottdtls:�'&P�r„e�nnt�las�:Reqt�ea•o+�a{tiB,�camow�onPlahs;�smm�wmm:•Pmns�wsutFenoeinataUaa,
' $aNffiry Facpf9Hs&:1:dumP.�J'. ��'.W?l.l�:Petmlt tor oubdlRislcasRarge Prol00bs
COEAMERGIAt. Atted�(3?wrriP�'�sbt9U9t�lr�g Plem's p7i�e 83ffa SefatY Psge;It)setotEnQr[i1r Fams.R-4W PetmR{or new oonvtructton.
tuW��ium ten(i0)woA�n9 daYs aRerbutimfltat�ate: tte�qWred m�te,CanswoUon P�ans�&tamwaMr Plar�s w/Sdt Fance Ir�stenad,
Satdisry Fae8lnas 81 clumpsEer.Ske Wortc Permft for aq new projeam.Ae commerot�t reyulroments must meet sompttance
SION PERtdiT AttdCh(2)eata of ErigBneered,P�at�s....•=• • .
""PROPEKTYSURVEYeequhedlOraUN�YVC0116Wt�On, . ,
DI#BCt101f�
FlRcut appicseon edmptetelY.
� Owner 6 Confraclor Wpn badc of eppttranon,nofaAze�! '
' I!qvAr S�S00.a Ilottea eF Co�nam�rt is rae juMed. (AfC UP8rNd08 OVer S74G0)
•• 1�geflt(fGP di9 ooroVeCtbt)tot Po+Oor o6AUomeY Qo�tlie ovmsi')would be somewre with notnirssd letter from owner aulho�in9 same ,
DY6R7HECCUNT�RP.ERMIT.SINO �mnP�a��w,�„iY> �
Reroofs If shingiea s�,rerg s�n�e up�arc Fances��ars�rveyrwom�e) ,
Drfvevrays-Not over Cau�rier U on v�[Ic roadv�s,.neede ROW '